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All Charges

Charge Type Setting Price  
Service Code ICD 02C20ZZ
Hospital Charge Code 1012
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C23Z6
Hospital Charge Code 1014
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C23Z6
Hospital Charge Code 1013
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C23ZZ
Hospital Charge Code 1016
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C23ZZ
Hospital Charge Code 1015
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C23ZZ
Hospital Charge Code 10769
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C24Z6
Hospital Charge Code 1017
Min. Negotiated Rate $10,284.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Service Code ICD 02C24ZZ
Hospital Charge Code 10770
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C24ZZ
Hospital Charge Code 1018
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C30Z6
Hospital Charge Code 1019
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C30ZZ
Hospital Charge Code 10771
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C30ZZ
Hospital Charge Code 1020
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C33Z6
Hospital Charge Code 1022
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C33Z6
Hospital Charge Code 1021
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C33ZZ
Hospital Charge Code 10772
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C33ZZ
Hospital Charge Code 1023
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C33ZZ
Hospital Charge Code 1024
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C34Z6
Hospital Charge Code 1025
Min. Negotiated Rate $10,284.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Service Code ICD 02C34ZZ
Hospital Charge Code 10773
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C34ZZ
Hospital Charge Code 1026
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 02C40ZZ
Hospital Charge Code 10774
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C40ZZ
Hospital Charge Code 1027
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C43ZZ
Hospital Charge Code 3120
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C43ZZ
Hospital Charge Code 10775
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02C44ZZ
Hospital Charge Code 3121
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00